Breast expanders for xl breast implants: overfilled saline?

Question

Are there doctors in California that do expanders? I know a lot of girls talk about expanders so you don’t have to do multiple surgeries. So like ones that could go up to 3000. How long do they last? I mean it’s really over filled saline.

Farbod Esmailian, MD · Answer

Breast expanders are generally used after a mastectomy for breast reconstruction.  It is not a one surgery deal.  In fact when expanders are used it is regarded as a staged or 2 stage reconstruction.  The breast expander is placed and in a couple of weeks the expander is activated by filling it with saline and in some cases there are expanders that can be filled with CO2 remotely.  This is done incrementally until the desired volume or size is reached or the skin cant stretch anymore.  Then a period of time is allowed to pass to allow the capsule to mature.  Once this time is up, then the patient is returned to the operating room to remove the expander and have an implant placed.  The largest silicone implant that we currently have on the market is 800 cc and the largest saline implant goes up to 960 cc and in certain cases it called be filled up to 1100 cc.Hope that helps.

Urmen Desai, MD, MPH, FACS · Answer

The implant selection should be based on a combination of your desired size, soft tissue dynamics, breast base diameter and skin elasticity.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Arian Mowlavi, MD, FACS (license on probation) · Answer

I would recommend that you contact #allegraworld on instagram who is a patient advocate regarding these types of implants. I am sure that she would guide you to the right doctor.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and expanders do exist but are used for breast reconstruction rarely breast augmentation as the largest saline implant available only is recommended to be filled to 1000cc’s.Dr Corbin

Edward J. Domanskis, MD (in memoriam) · Answer

I have specialized in XL breast implants for many years. Yes, you should be able to go bigger with an open capsultomy and if not enough room then placement of a tissue expander and then switching to a custom silicone breast implant. XL implants are my specialty. I am fortunate to have a special arrangement with a couple of companies to get XL tissue expanders as well as xl custom silicone implants. I have patients throughout the world, some much larger than what you want to go to. I would recommend you visit my website specifically for XL patients below and contact me. I do SKYPE/FACETIME/Whatsup consultations. My offices are conveniently located in Newport Beach, San Francisco, Miami, Nassau, Anguilla and Italy.

Breast expanders for xl breast implants: overfilled saline?

Answers (5)

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